선청성 구순구개열 환자의 장기적인 교정 치료 및 음성언어학적 고찰
Long-term Orthodontic Treatment and Phonetic Assessment of a Congenital Cleft Lip and Palate Patient
홍지숙, 김윤지, 황용인, 김대성, 박양호,
소속 상세정보
홍지숙 ( Hong Ji-Suk ) - 한림대학교의료원 강동성심병원 치과
김윤지 ( Kim Yoon-Ji ) - 한림대학교의료원 강동성심병원 치과교정과
황용인 ( Hwang Yong-In ) - 한림대학교의료원 강동성심병원 치과교정과
김대성 ( Kim Dae-Sung ) - 한림대학교 대학원
박양호 ( Park Yang-Ho ) - 한림대학교의료원 강동성심병원 치과교정과
KMID : 0952820090120010007
Abstract
Orthodontic treatment planning of cleft lip and palate requires consideration of the characteristic features, growth pattern and functional disorders related to cleft lip and palate patients. Tissue deficiencies and constriction of the scar tissue in surgically treated cleft lip and palate results in disturbance of maxillary growth and deficiency of midfacial region with anterior and posterior crossbite. These patients often present congenital missing of teeth, supernumerary teeth, malformed teeth, or ectopic position of teeth, which should be treated by orthodontic treatment by expanding upper arch followed by fixed appliance. Proper use of retainer and continuous follow-up is needed to prevent relapse after orthodontic treatment has finished. Also we have to pay attention to correct speech disorder which is caused by the velopharyngeal insufficiency.
키워드
Maxillary expension;Velopharyngeal insufficiency;Phonetic assessment
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